tugas ppt distal humeri

7/24/2019 Tugas Ppt Distal Humeri

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Distal Humerus Fracture on

elderly


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A fracture of the distal humerus occurs whenthere is a break anywhere within the distalregion (lower end) of the humerus

Distal humerus fractures

uncommon. Theymay occur in an isolated manner (that is, thereare no other injuries), but can also be a part ofa more complex elbow injury.


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A direct blow a fall (landing directly onthe elbow) or by being struck by a hard

object (baseball bat, car dash board or doorduring a crash)

An indirect fracture.a fall if a person

lands on his or her outstretched arm withthe elbow locked straight. The ulna (one ofthe forearm bones) is drien into the distalhumerus, causing it to break. board or door

during a crash).

Distal humerus fractures may

occur in a number of ways!


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"T# $ road tra%c accident.

From "obinson &', Hill "', acobs , et al. #dult distal humeral metaphysealfractures! epidemiology and results of treatment.J Orthop Trauma*++-/!01234/.

Mechanis

m ofInjury

Numberof

Fractures(numberopen)

AverageAge in

Years(range)

Males Females MF !atio

5imple fall *6 (*) 7/.+ (*to 66)

08 +.8 !

Fall from aheight 7 (*) */.+ (4to 4) * .7 !

"T# 4* (/) .* (4to //)

*/ 7 .0 !

5port 4 (*) **.6 (

t+ 44)

4 / 4.6 !

9ther (+) 6.* (4to 6*)

6 4 *. !

Total *+ (*) 40.4 (*to 66)

76 8 .+ !


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on : 5urgical

5urgical


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;f the fracture is not displaced a splint orsling to hold the elbow in place during thehealing process

may re


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Infection

"ain associated with surgery

#amage to nerves and blood vessels

Nonunion

can occurfor a

ariety of

reasons

. The patient does not follow directionsafter surgery.

*. The patient has other health issues thatslow healing. 5ome diseases, likediabetes, slow healing. 5moking or usingother tobacco products also slow healing.

. ;f the fracture was associated with a cutin the skin (an open fracture), healing isoften slower.

4. ;nfections can also slow or preenthealing.


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=hether treatment inoles surgery ornot, recoery from a distal humerusfracture reegins after a few weeks of keepingthe arm still by using a splint or a sling.;n many cases, a physical therapist willhelp with rehabilitation, beginning withgentle, range of motion e?ercises and

gradually adding e?ercises tostrengthen the arm


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5urgical

"hysical thera$y'otion e?ercises for the elbow and forearm usually beginshortly after surgery

!estrictionsThe patient is usually restricted from lifting objects with theinjured arm for 8 to * weeks

%ide e&ects5ome numbness in the pinky side of the hand or weakness ofthe hand and wrist may result from the surgery. This is causedby stretching of the ulnar nere during surgery, and is oftentemporary and resoles oer time

tugas ppt distal humeri

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